School of Medical and Molecular Biosciences, University of Technology Sydney, New South Wales, Australia.
School of Biological Sciences, Queen's University Belfast, Belfast, Northern Ireland.
PLoS One. 2014 Jan 21;9(1):e86289. doi: 10.1371/journal.pone.0086289. eCollection 2014.
Infections with helminth parasites prevent/attenuate auto-inflammatory disease. Here we show that molecules secreted by a helminth parasite could prevent Type 1 Diabetes (T1D) in nonobese diabetic (NOD) mice. When delivered at 4 weeks of age (coincident with the initiation of autoimmunity), the excretory/secretory products of Fasciola hepatica (FhES) prevented the onset of T1D, with 84% of mice remaining normoglycaemic and insulitis-free at 30 weeks of age. Disease protection was associated with suppression of IFN-γ secretion from autoreactive T cells and a switch to the production of a regulatory isotype (from IgG2a to IgG1) of autoantibody. Following FhES injection, peritoneal macrophages converted to a regulatory M2 phenotype, characterised by increased expression levels of Ym1, Arg-1, TGFβ and PD-L1. Expression of these M2 genetic markers increased in the pancreatic lymph nodes and the pancreas of FhES-treated mice. In vitro, FhES-stimulated M2 macrophages induced the differentiation of Tregs from splenocytes isolated from naïve NOD mice. Collectively, our data shows that FhES contains immune-modulatory molecules that mediate protection from autoimmune diabetes via the induction and maintenance of a regulatory immune environment.
寄生虫感染可预防/减轻自身炎症性疾病。在这里,我们发现,一种寄生虫(即肝片形吸虫)的分泌产物可预防非肥胖型糖尿病(NOD)小鼠发生 1 型糖尿病(T1D)。当该分泌产物在 4 周龄时(即与自身免疫起始同时)给药时,可预防 T1D 的发生,84%的小鼠在 30 周龄时仍保持正常血糖且无胰岛炎。疾病保护与抑制自身反应性 T 细胞分泌 IFN-γ以及自身抗体产生调节性同种型(从 IgG2a 向 IgG1 转换)有关。FhES 注射后,腹膜巨噬细胞向调节性 M2 表型转化,其特征在于 Ym1、Arg-1、TGFβ 和 PD-L1 的表达水平增加。在 FhES 处理的小鼠的胰腺淋巴结和胰腺中,这些 M2 遗传标志物的表达增加。在体外,FhES 刺激的 M2 巨噬细胞可诱导来自幼稚 NOD 小鼠脾细胞的 Treg 分化。总之,我们的数据表明,FhES 含有免疫调节分子,可通过诱导和维持调节性免疫环境来预防自身免疫性糖尿病。